CDI and Quality Care Measures Boot Camp

Course Overview

Advance your CDI practice to the next level

The CDI and Quality Care Measures Boot Camp is an intensive three-day course designed for CDI departments/programs looking to move to the next level of CDI—not just diagnosis review and clarification, but how diagnoses impact hospital quality metrics and influence indirect revenues.

This class covers publicly reported quality data and how code assignment affects quality metrics, including but not limited to the Hospital Value-Based Purchasing (VBP) Program. Students will learn the why and how of reviewing complex cases involving Patient Safety Indicators (PSI) and hospital-acquired infections (HAI), and they'll leave with measurable strategies for improving their hospital profiles and positively influencing their facility's value-based incentive payments.

Who is this class for?
The CDI and Quality Care Measures Boot Camp is designed for CDI, coding, and quality departments looking to collaborate and elevate their practice to ensure the highest level of integrity along with precise and accurate capture of quality metrics. No experience is required for this course, but we recommend attendees have a basic understanding of coding regulations as well as at least one year of experience in the CDI, coding, or quality field.

This Boot Camp will help you to:

• Apply concepts of CDI record reviews, queries, and provider education to CMS quality reporting measures
• Create a strategy to demonstrate accurate public reporting and quality measure scores
• Accurately apply coding regulations such as present on admission indicators and identify query opportunities related to CMS quality initiatives on topics such as hospital-acquired conditions (HAC), PSIs, HAIs, and readmissions

You'll leave this Boot Camp with an understanding of:

• How quality reporting impacts organization reimbursement in both the inpatient and outpatient settings
• Quality measure reporting and how documentation integrity can positively impact scores
• The impact of diagnosis capture on quality reporting and organizational revenue

What sets the CDI and Quality Care Measures Boot Camp apart? See the difference for yourself!

Check out all the benefits of this HCPro Boot Camp:

• Expertly designed course materials: Course materials are developed by an adult education expert. The curriculum uses a “how to” approach where participants learn how to apply CDI concepts that they can then customize to their organizational needs. Content is regularly updated based on changing industry practices and participant feedback.
• Live instruction: Classes are taught by an experienced instructor who is credentialed as a CDI professional and works as an industry subject matter expert for ACDIS.
• Small class size: We limit the number of course participants in order to maintain a low participant-teacher ratio. This allows us to provide individual instruction as needed when participants find a topic particularly challenging; it also allows time for discussion.
• Well-established program: Brought to you by the Association of Clinical Documentation Integrity Specialists (ACDIS), this Boot Camp from the industry's only dedicated CDI association provides the best-in-class education you expect.

Our Boot Camps are a comprehensive and effective way to strengthen your understanding of CDI. "Our goal as instructors is to offer detailed, thorough, and timely education that can be simply broken down and easily understood and applied in daily practice," says CDI Education Director Deanne Wilk, MPS, BSN, RN, CCDS, CCDS-O, CDIP, CCS.

ACDIS members save $150 off the registration fee. Call 800-650-6787 to receive your special discount rate or sign up to become an ACDIS member today!

For more information about the CDI and Quality Care Boot Camp, contact us at 800-650-6787 or email sales@hcpro.com

CDI and Quality Care Measures Boot Camp

Course Outline

Module 1: CDI's Role in Quality Initiatives (General Overview)

• Regulatory and coding guidelines that impact quality reporting
• HIPAA
• International Classification of Diseases (ICD)
• Coding conventions and guidelines
• AHA Coding Clinic guidance
• Uniform Hospital Discharge Data Set (UHDDS)
• Coding conventions and guidelines
• Identifying reportable diagnoses
• Sequencing (principal/secondary diagnoses and first- listed diagnosis)
• Present on admission (POA) reporting
• Reporting healthcare- related complications
• Status codes
• Departmental collaboration: CDI, coding, and quality

Module 2: Introduction to Quality Reporting

• Review of publicly reported data and its impact on organizational success
• The shift in healthcare payment methodologies
• Fee-for-service
• Value-based purchasing (VBP)
• Goals of data collection: reporting and patient outcomes
• Inpatient setting
• Outpatient setting

Module 3: Elements of Strong Documentation: Limiting Vulnerabilities

• Emergency department note
• History and physical
• Discharge summary
• Office visit note

Module 4: The Impact of Documentation on Mortality Reporting

• Appropriate assignment: Medical Severity Diagnosis-Related Groups (MS-DRG) and All Patient Refined Diagnosis-Related Groups (APR-DRG)
• The relationship between severity of illness (SOI)/risk of mortality (ROM) scores and DRG assignment
• Use of predictive models associated with hospital resource use and in-hospital mortality
• Risk adjustment in relation to mortality

Module 5: Risk Adjustment and Hierarchical Condition Categories (HCC)

• Defining risk adjustment
• Predicting costs and resource consumption
• Predicting complications
• Comparison of organizations/providers
• Methodologies:
• CMS-HCC
• HHS-HCC (adult, child and infant), Affordable Care Act
• Medicaid Chronic Illness and Disability Payment System (CDPS)
• Type 2 diabetes risk adjustment model
• Mortality risk assessment models (Elixhauser comorbidities)

Module 6: Patient Safety Indicator (PSI) Reporting

• Defining PSIs and AHRQ and CMS quality programs
• Inclusion and exclusion criteria
• Death rate among surgical inpatients (PSI 04)
• Patient safety and adverse events composite (PSI 90)
• Provider education and querying

Module 7: Hospital-Acquired Conditions (HAC) and Infections (HAI)

• Identification and reporting of HACs/HAIs
• Review of codes that trigger HACs/HAIs
• CDC reporting abstraction guidelines of HACs/HAIs vs. coding requirements
• CMS HAC Reduction Program (HACRP)

Module 8: CMS Quality Reporting and Healthcare Effectiveness Data and Information Set (HEDIS) Measures

• Inpatient Quality Reporting (IQR) Program
• Outpatient Quality Reporting (OQR) Program
• HEDIS measures

Module 9: Hospital Value-Based Purchasing (VBP) Program

• Change from fee-for-service
• Domains:
• Clinical Outcomes
• 30-day mortality
• Complications (hip and knee arthroplasty)
• Person and Community Engagement
• Safety
• HAIs
• Efficiency and Cost Reduction
• Medicare Spending per Beneficiary (MSPB)

Module 10: Hospital Readmissions

• Hospital Readmissions Reduction Program (HRRP)
• Population health
• CMS advanced bundle program
• Common diagnoses and DRGs impacting readmission data

Module 11: Record Review and Queries

• Reviewing medical record documentation
• Defining queries and query compliance
• Justification to issue a query
• How to construct a query
• Written vs. verbal queries
• Concurrent vs. retrospective queries
• Approved formats
• The importance of clinical indicators

*Course outline/agenda subject to change.

CDI and Quality Care Measures Boot Camp

Learning Outcomes

At the completion of this Boot Camp, participants will be able to:

• Contrast and compare differing healthcare payment methodologies such as IPPS, OPPS, risk based (shared savings) and fee for service. 
• Explain the impact of principal diagnosis assignment (i.e., diagnosis sequencing) on indirect revenue, including that affected by quality metrics 
• Define the CDI specialist’s role contributing to successful quality metric reporting
• Develop documentation strategies to enhance a hospital’s quality metrics without compromising data integrity congruent with official coding guidelines
• Communicate to physicians how their documentation impacts various quality metrics through coded data, compared to abstracted data and surveillance data
• Conduct reviews and/or develop appropriate review processes to ensure accurate reporting of Patient Safety Indicator (PSI) 90
• Develop strategies to leverage collaboration within the revenue cycle, including CDI, coding, infection control, quality, and case management (utilization review) to promote consistency in the reporting of metrics associated with Hospital Value-Based Purchasing (HVBP) and other quality indicators

Continuing Education

ACCME
HCPro is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

HCPro designates this educational activity for a maximum of 22.5 AMA PRA Category 1 Credits™. Physicians should only claim credit commensurate with the extent of their participation in the activity.

ACDIS
This program has been approved for 22.5 continuing education units towards fulfilling the requirements of the Certified Clinical Documentation Specialist (CCDS) certification, offered as a service of the Association of Clinical Documentation Integrity Specialists (ACDIS).

AHIMA
This program has been approved for 22.5 continuing education unit(s) (CEUs) for use in fulfilling the continuing education requirements of the American Health Information Management Association (AHIMA). Granting of Approved CEUs from AHIMA does not constitute endorsement of the program content or its program provider.

ANCC
HCPro is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center’s Commission on Accreditation.

This educational activity for 22.5 nursing contact hours is provided by HCPro.

CCMC
This program is approved by the Commission for Case Manager Certification for 22.5 Continuing Education Units.

Disclosure Statement:
HCPro has confirmed that none of the faculty/presenters, planners, or contributors have any relevant financial relationships to disclose related to the content of this educational activity.

CDI and Quality Care Measures Boot Camp

Things to Know Before Attending Class

Directions and Hotel Information

The hotel address, phone number, URL, room rate and room rate cut-off date are posted on the Locations/Dates tab. The hotel websites give detailed directions to the hotel as well as information about the location.  Please call the hotel directly to make a room reservation.  Be sure to identify yourself as an HCPro Boot Camp participant.  Please be sure to make your reservation before the cut-off date.  After the cut-off date, contact the hotel to determine room availability and rates.

Course Materials

When you arrive at class, you will receive two books containing the class materials utilized throughout the boot camp.  These books will be yours to keep, so plan accordingly in allowing enough room in your luggage on the return trip home.  The books weight approximately 8 – 10 pounds.  Books may also be shipped from the hotel at your own expense.

Classroom Time

Other than short breaks and lunch, we will be in class from 8:00 a.m. to at least 5:00 p.m. each day.  In order to focus all attention on the course and to not distract other participants as well as the instructor, cell phone use during class is strictly prohibited. We will take short breaks (up to 10 minutes each) throughout the day that will give participants an opportunity to make calls, use the restroom, etc., in addition to an hour lunch break for lunch on your own.

Lunch

We will take about a 45-minute break for lunch each day.  We typically provide coffee in the morning and drinks and a light snack in the afternoon, everyone is on their own for lunch.  Note that many hotels do not have restaurants on-site.  If you are flying to the course, we generally recommend renting a car, or investigating availability of hotel shuttle or ride share.

What to Bring to Class

Please bring the following to all classes:

• Highlighter
• Notepaper
• Sticky Notes/flags
• Pen/Pencil
• Layered clothing  e.g., light sweater, light jacket, etc.

Dress

Business attire is not necessary.  Please dress comfortably.   Sometimes classrooms are on the cool side, even during the warmer months.  You may be more comfortable if you bring a sweater or sweatshirt in case you get cold. 

CCDS Examination Information

The Association of Clinical Documentation Improvement Specialists (ACDIS) offers a certification for CDI specialists, the Certified Clinical Documentation Specialist (CCDS). We recommend the CCDS exam for individuals who desire to pursue certification. However, the course may not cover all the content areas tested on the exam.  Additionally, the certification requires experience performing the duties of a CDI specialist so attending this class may not qualify you to sit for the exam if you are new to the field of CDI. 

Consequently, depending on your background and experience, additional independent study and/or training may be required to pass the CCDS examination. To download the CCDS Candidate Handbook and Application and view the prerequisites, visit the ACDIS website at https://acdis.org/certification.

Cancellation and Transfer Policy

For our cancellation and transfer policy, visit our website:  http://hcmarketplace.com/cancellations.

COVID Safety

Simplify Compliance and HCPro place the highest priority on the safety of our guests. In preparation for attendance at our events, we want to share the following measures to promote health and well-being:

• If the region where our event is located is deemed by the CDC to be within the substantial or high-risk category, we will require all attendees, regardless of vaccination status, to wear masks when indoors except while actively eating or drinking. 
• Meeting rooms will be set to support social distancing when necessary.
• Food service will follow the safety guidelines implemented by the hotel.

To view all the safety measures that a specific hotel has implemented, please see the information listed on their website. 

Simplify Compliance and HCPro will continue to monitor the COVID-19 environment and the recommended guidelines, and will communicate adjustments to the onsite policies and procedures as necessary.

Contact Information

For more information about our Boot Camps, contact us at 800-650-6787 or email sales@hcpro.com.

We Look Forward to Having You In Class!

CDI and Quality Care Measures Boot Camp

Questions/Answers

What is the focus of the CDI and Quality Care Measures Boot Camp?
This class covers publicly reported quality data and how code assignment affects quality metrics, including but not limited to the Hospital Value-Based Purchasing (HVBP) Program, the Hospital Readmission Reduction Program (HRRP), The Hospital Acquired Condition Reduction Program (HACRP) to include Patient Safety Indicators (PSI) and hospital-acquired infections (HAI) and Hospital Inpatient Quality Reporting (IQR). The course speaks to the relationship between provider documentation and quality measure reporting. Attendees will leave with measurable strategies for applying the concepts of CDI record review, query and provider education with a goal to improve quality measure scores and public reporting.

What if I need to cancel or transfer my registration?
Please click here to view our cancellation policy.

What material does the course cover?
To view the course outline, click on "Course Outline" above.

Does the course require any previous experience or training?
No. However, because of the course’s fast-paced nature, it is recommended (but not required) that participants have at least one year of experience working in a hospital. This course is taught on a basic to intermediate level. It is recommended, however, that new CDI specialists attend the CDI Boot Camp first and the CDI and Quality Care Measures Boot Camp second, as the former course includes information on the basic roles and responsibilities of the CDI specialist while the CDI and Quality Care Measures Boot Camp does not.

Who should attend?

• CDI specialists, CDI supervisors, CDI managers/directors
• Quality improvement professionals, quality department managers/directors
• Coding supervisors, coding managers/directors
• HIM managers/directors
• Coding compliance specialists, coding compliance supervisors/managers/directors
• Utilization review/case management managers/directors
• Revenue cycle managers/directors
• Physician advisors/champions to CDI
• Hospitalist leadership

Is there a discount for ACDIS members?
ACDIS members save $150 off the registration fee. Call 800-650-6787 to receive your special discount rate or sign up to become an ACDIS member today!

How is the course taught?
The course is taught using a combination of lecture, class discussion, and hands-on exercises/case studies.

What do I need to bring to class?

• Highlighter
• Sticky notes
• Pen/pencil

Does HCPro ever share contact information (e.g., name, address, phone number, email address, etc.) with other companies?
Historically, we have not shared contact information with anyone outside of our company. However, it is possible that at some point we might share contact information with other companies that offer products and services that we think would be of interest to our customers. If you would like us to keep your contact information confidential, please let us know so that we can flag your information in our customer database as "Do Not Share."

How do I get more information?
Contact our sales team at 800-650-6787 or email sales@hcpro.com.